Echo in diseases of the aorta

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Editor-in-Chief: Eli V. Gelfand (Beth Israel Deaconess Medical Center, Harvard Medical School)



Enlargement of Thoracic Aorta and Thoracic Aortic Aneurysm

Penetrating Aortic Ulcer

Aortic Intramural Hematoma

Aortic Dissection

Echocardiography in general, and TEE in particular are useful methods of diagnosis of aortic dissection (AoD). It allows for demonstration of true and false dissection lumen, as well as for assessment of the complications of AoD, such as:

- Pericardial effusion with/without cardiac tamponade

- Coronary artery dissection and myocardial infarction

- Aortic rupture

- Acute aortic regurgitation

Below is a TEE, clearly showing a dissection flap in the ascending aorta, with an associated jet of severe aortic regurgitation.

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